Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Ryan Tallman, LCPC

Individual provider Mental Health Counselor · NPI 1225574031

Jeremy Ryan Tallman, LCPC is a Mental Health Counselor in Columbia, Maryland. Qualified in 2014, 12 years ago. Practices with Way Station Inc, a 26-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
12
Licensed in
MD
In the registry since
2017
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

9030 Route 108 Ste A
Columbia, MD 21045-1990
Phone: (410) 740-1901
Fax: (410) 740-2503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LC7560 (MD)

Record details

NPI number1225574031
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedJanuary 18, 2017
Last updated in NPPESJanuary 18, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Way Station Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Columbia